38
Follow-up
Table 14. Follow-Up Noninvasive Testing in Patients with
Known SIHD: New, Recurrent, or Worsening
Symptoms Not Consistent With UA
Test
Exercise Status ECG Interpretable
Able Unable Yes No
Patents able to exercise*
Exercise ECG
✔ ✔
Exercise with nuclear MPI or
Echo
✔ ✔
Exercise with nuclear MPI or
Echo
✔
Any
Pharmacological stress nuclear
MPI/Echo/CMR
✔ ✔
Patients unable to exercise
Pharmacological stress with
nuclear MPI or Echo
✔
Any
Pharmacological stress CMR
✔
Any
Exercise ECG
✔ ✔
Irrespective of ability to exercise
CCTA Any Any
CCTA Any Any
CCTA Any Any
* Patients are candidates for exercise testing if they are capable of performing at least moderate
physical functioning (ie, moderate household, yard, or recreational work and most activities of
daily living ) and have no disabling comorbidity. Patients should be able to achieve 85% of age-
predicted maximum heart rate.
